NPI 1124129689 · live from the CMS NPI Registry
James Michael Carl, D.O.
Pediatrics in Grand Rapids, MI. National Provider Identifier 1124129689, active.
NPI record
| NPI | 1124129689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 2488 Highridge Hills Ln. Se, Grand Rapids, MI 49546 |
| Practice phone | 816-665-3783 |
| Enumerated | September 26, 2006 |
| Last updated | May 30, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics primary | 208000000X | 5101006719 (MI) |
| Pediatrics, Adolescent Medicine | 2080A0000X | 34345 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.